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New York rates for HCPCS 54312

Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm

Facilitymedian $4,898 · 10th–90th $1,259$11,2200%5%10%10th90th$4,898Professionalmedian $1,023 · 10th–90th $708$2,4550%10%10th90th$1,023$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $4,466.84 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,047.13 / $2,691.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $851.14 / $2,089.30
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,995.26 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $4,786.30 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,548.82 / $3,715.35
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,513.56 / $2,884.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,047.13 / $1,548.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,122.02 / $2,041.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,096.48 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,897.79 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,071.52 / $2,630.27
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,096.48 / $2,818.38
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,096.48 / $2,630.27